Provider First Line Business Practice Location Address:
4850 COMMERCE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-6720
Provider Business Practice Location Address Fax Number:
661-324-6140
Provider Enumeration Date:
01/10/2007